The nurse is trying to take a history from a cooperative but fearful older person with mild dementia. Which of the following would be the most therapeutic strategy to use for this interaction?
a. sit calmly in a chair next to the person and ask questions in a non-threatening manner
b. ask loud, direct questions
c. have the person write down the information on the chart
d. ask the family member instead of the person
A
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For a substance-abusing client, the most appropriate nursing goal is to:
1. Assume responsibility for the choice to use substances. 2. Allow family to determine the plan of intervention. 3. Use acceptable amounts of legal substances. 4. Learn to avoid feelings of low self-esteem.
The nurse institutes measure to protect the preterm newborn from cold stress because:
A) it increases glucose utilization and contributes to the hypoglycemic state B) shivering consumes too many calories C) a low temperature may make the newborn less able to absorb nutrients D) cold decreases circulation to the extremities and the head, especially the brain
Free radicals cause cell damage by:
a. Stealing the cell’s oxygen to stabilize the electron, thus causing hypoxia b. Stimulating the release of lysosomal enzymes that digest the cell membranes c. Transferring one of its charged, stabilized atoms to the cell membrane, which causes lysis d. Giving up an electron, which causes injury to the chemical bonds of the cell membrane
A nursing instructor is teaching a group of students how to examine the thyroid gland. The instructor would determine that a student needs additional instruction when the student demonstrates which technique?
A) Inspection B) Auscultation C) Palpation D) Percussion